Organization
CUSTOM LIVING CARE
Active
Organization
CUSTOM LIVING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA HOWELL (OWNER)
(229) 344-6962
Entity
Organization
Contact information
Practice address
3949 KINGFISHER DR, ATLANTA, GA 30349-1990
(122) 934-4696
Mailing address
3949 KINGFISHER DR, ATLANTA, GA 30349-1990
(122) 934-4696
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
08/07/2021
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